5._Gate_Pass_Req..xlsx
XLSX spreadsheet 16 KB Posted
- Attached to
- Automatic Doors Federal contract opportunity
- Solicitation number
- FA5209-19-Q-0015
About this file
Gate Pass request
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Other files for this federal contract opportunity
| File | Type | Posted |
|---|---|---|
| 1._19Q0015.pdf | ||
| 2._PWS.pdf | ||
| 4._Notice_to_Offeror_(Site_Visit_Only).pdf | ||
| 3._Business_w_US_Government.pdf |
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Text version
PASS
| ONE TIME/MULTIPLE ACCESS ROSTER | |
| Information for Form USAG-J 1529 | |
| Company Name (社名): | |
| Solicitataion No. (入札書番号) | FA520918Q0075 |
| Select 1, 2 or 3 | ||||||
| Name（名前） | Kanji（漢字） | Address（住所） | Telephone No. | 1 | Driver's License No. | Vehicle Plate No. |
| Nationality（国籍） | 2 | Passport No. | ||||
| 3 | Other | |||||
| S A M P L E | ||||||
| YOKOTA, TARO | 横田太郎 | 4-56-78, Asahi-chi, Yamato-shi, Kanagawa-ken, Yokota Condominium, Room 505 | 046-111-1111 | １ | 456789123456 | SAGAMI 520 HO 45-98 |
| Japan |
| 注：どちらかをお選びください | 1 | 運転免許証番号 |
| 2 | パスポート番号 |
NOTE
| GATE PASS REQUEST GUIDE TO CAMP ZAMA, SHA, SGD AND YND |
| (座間基地、相模原住宅、相模原補給廠、横浜ノースドックへのゲートパスリクエストガイド） |
| 1. Please provide the following documents to the government contract specialist in order to participate in the site visit and/or pre-proposal conference. |
(現場説明会・入札説明会に参加される場合は、以下の書類を入札担当者にご提出ください。）
| (a) Gate Pass Request Form （ゲートパス 申請書） |
| (b) Copy of valid official ID w/photo of all participants (ex. driver's license, passport, etc.) |
| （参加者全員の公的な写真付き身分証明書のコピー、運転免許証・パスポートなど） |
| (c) Copy of certificates of Automobile Inspection of the vehicle to drive |
| （乗り入れる車両の車検証のコピー） |
| (d) Copy of Automobile Liability Insurance of the vehicle |
| （乗り入れ車両の自賠責保険のコピー） |
| (e) Copy of Voluntary Insurance of the vehicle |
| （乗り入れ車両の任意保険のコピー） |
2. All the participants need to bring the same IDs as you listed in the Gate Pass Request Form. If using a driver's license as the ID, you will need 2 sets of 4-digit PIINs of the license when entering the base. If you do not remember your PIINs, pleae check with your local police prior to attending the site visit/conference.
(参加者はGate Pass Request Form に記載の身分証明書(ID)をご持参してください。 運転免許証をIDとして使用される場合は、入門の際に運転免許証の暗証番号4桁ｘ２セットの入力も必要になります。もし番号をお忘れの場合は、事前に警察でご確認ください。）
3. The participants' IDs are kept at the security office while they are on base. Therefore, the driver needs 2 IDs (driver's license for driving & another ID to leave at security office).
| （在日米軍施設内は、参加者の身分証明書はセキュリティオフィスで一時預かりになります。そのため、車両運転者はIDが２つ必要 (車両運転用の免許証と一時預かり用ID) になります。) |
| 4. Any vehicles driving in the U.S. Forces Japan installations must have a liability insurance that covers at least Y30,000,000 for bodily injury and Y3,000,000 for property damage. |
| （在日米軍施設内を走行する車両は、対人保障3,000万円以上、対物保証300万円以上の補償額の任意保険が必要です。） |
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